
Abnormal heartbeat: Difference between revisions
>Graham NIH definition. Got rid of the 'arrhythmias are not life-threatening' part until further evidence points to it. |
>Graham Wiki ref formatting |
||
(22 intermediate revisions by 2 users not shown) | |||
Line 1: | Line 1: | ||
<onlyinclude> | <onlyinclude> | ||
'''Abnormal heartbeat''' (also called an '''arrhythmia''' or '''dysrhythmia''') is defined as a problem with the rate or rhythm of a heartbeat.<ref>{{Citation | title=Arrhythmias - What Is an Arrhythmia? | publisher=National Heart, Lung and Blood Institute | url=https://www.nhlbi.nih.gov/health/arrhythmias | access-date=4 June 2022}}</ref> A heartbeat that is too fast (greater than 100 beats per minute) is called ''tachycardia'' and a heartbeat that is too slow (less than 60 beats per minute) is called ''bradycardia''. Arrhythmias are caused by changes to heart tissue. Hearts beat due to cascading electrical signals and these can be influenced by stress hormones, electrolytes, and medicinal substances. | |||
An abnormal heartbeat is most commonly induced under the influence of [[dosage#common|moderate]] [[dosage|dosages]] of [[stimulant]] and [[depressant]] compounds, such as [[cocaine]],<ref>O’Leary, | An abnormal heartbeat is most commonly induced under the influence of [[dosage#common|moderate]] [[dosage|dosages]] of [[stimulant]] and [[depressant]] compounds, such as [[cocaine]],<ref>{{cite journal | vauthors=((Wood, D. M.)), ((Dargan, P. I.)), ((Hoffman, R. S.)) | journal=Clinical Toxicology | title=Management of cocaine-induced cardiac arrhythmias due to cardiac ion channel dysfunction | volume=47 | issue=1 | pages=14–23 | date= January 2009 | url=http://www.tandfonline.com/doi/full/10.1080/15563650802339373 | issn=1556-3650 | doi=10.1080/15563650802339373}}</ref><ref>{{cite journal | vauthors=((O’Leary, M. E.)), ((Hancox, J. C.)) | journal=British Journal of Clinical Pharmacology | title=Role of voltage-gated sodium, potassium and calcium channels in the development of cocaine-associated cardiac arrhythmias: Voltage-gated ion channels and cocaine-induced arrhythmia | volume=69 | issue=5 | pages=427–442 | date=28 January 2010 | url=https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2125.2010.03629.x | issn=03065251 | doi=10.1111/j.1365-2125.2010.03629.x}}</ref><ref>{{cite journal | vauthors=((Wood, D. M.)), ((Dargan, P. I.)) | journal=British Journal of Clinical Pharmacology | title=Putting cocaine use and cocaine-associated cardiac arrhythmias into epidemiological and clinical perspective: Cocaine epidemiology and cardiovascular toxicity | volume=69 | issue=5 | pages=443–447 | date=28 January 2010 | url=https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2125.2010.03630.x | issn=03065251 | doi=10.1111/j.1365-2125.2010.03630.x}}</ref><ref>{{cite journal | vauthors=((Gradman, A. H.)) | journal=The Yale Journal of Biology and Medicine | title=Cardiac effects of cocaine: a review | volume=61 | issue=2 | pages=137–147 | date= April 1988 | issn=0044-0086}}</ref><ref>{{cite journal | vauthors=((Lange, R. A.)), ((Hillis, L. D.)) | journal=New England Journal of Medicine | title=Cardiovascular Complications of Cocaine Use | volume=345 | issue=5 | pages=351–358 | date=2 August 2001 | url=http://www.nejm.org/doi/abs/10.1056/NEJM200108023450507 | issn=0028-4793 | doi=10.1056/NEJM200108023450507}}</ref><ref>{{cite journal | vauthors=((Tazelaar, H. D.)), ((Karch, S. B.)), ((Stephens, B. G.)), ((Billingham, M. E.)) | journal=Human Pathology | title=Cocaine and the heart | volume=18 | issue=2 | pages=195–199 | date= February 1987 | url=https://linkinghub.elsevier.com/retrieve/pii/S0046817787803386 | issn=00468177 | doi=10.1016/S0046-8177(87)80338-6}}</ref><ref>{{cite journal | vauthors=((Maraj, S.)), ((Figueredo, V. M.)), ((Lynn Morris, D.)) | journal=Clinical Cardiology | title=Cocaine and the Heart | volume=33 | issue=5 | pages=264–269 | date= May 2010 | url=https://onlinelibrary.wiley.com/doi/10.1002/clc.20746 | issn=01609289 | doi=10.1002/clc.20746}}</ref> [[amphetamines]],<ref>{{cite journal | vauthors=((Shyu, K.)), ((Wang, B.)), ((Yang, Y.)), ((Tsai, S.)), ((Lin, S.)), ((Lee, C.)) | journal=Cardiovascular Research | title=Amphetamine activates connexin43 gene expression in cultured neonatal rat cardiomyocytes through JNK and AP-1 pathway | volume=63 | issue=1 | pages=98–108 | date=1 July 2004 | url=https://academic.oup.com/cardiovascres/article-lookup/doi/10.1016/j.cardiores.2004.02.018 | issn=00086363 | doi=10.1016/j.cardiores.2004.02.018}}</ref><ref>{{cite journal | vauthors=((Bazmi, E.)), ((Mousavi, F.)), ((Giahchin, L.)), ((Mokhtari, T.)), ((Behnoush, B.)) | journal=Sultan Qaboos University Medical Journal | title=Cardiovascular Complications of Acute Amphetamine Abuse: Cross-sectional study | volume=17 | issue=1 | pages=e31-37 | date=30 March 2017 | url=https://journals.squ.edu.om/index.php/squmj/article/viewFile/1813/1763 | issn=2075051X | doi=10.18295/squmj.2016.17.01.007}}</ref><ref>{{cite journal | vauthors=((Jacobs, W.)) | journal=The American Journal of Forensic Medicine and Pathology | title=Fatal Amphetamine-Associated Cardiotoxicity and Its Medicolegal Implications: | volume=27 | issue=2 | pages=156–160 | date= June 2006 | url=http://journals.lww.com/00000433-200606000-00012 | issn=0195-7910 | doi=10.1097/01.paf.0000188082.68009.10}}</ref><ref>{{cite journal | vauthors=((Won, S.)), ((Hong, R. A.)), ((Shohet, R. V.)), ((Seto, T. B.)), ((Parikh, N. I.)) | journal=Clinical Cardiology | title=Methamphetamine-Associated Cardiomyopathy: Methamphetamine-associated cardiomyopathy | volume=36 | issue=12 | pages=737–742 | date= December 2013 | url=https://onlinelibrary.wiley.com/doi/10.1002/clc.22195 | issn=01609289 | doi=10.1002/clc.22195}}</ref><ref name=":0">{{cite journal | vauthors=((Frishman, W. H.)), ((Del Vecchio, A.)), ((Sanal, S.)), ((Ismail, A.)) | journal=Heart Disease | title=Cardiovascular Manifestations of Substance Abuse: Part 2: Alcohol, Amphetamines, Heroin, Cannabis, and Caffeine | volume=5 | issue=4 | pages=253–271 | date= July 2003 | url=http://journals.lww.com/00132580-200307000-00003 | issn=1521-737X | doi=10.1097/01.hdx.0000080713.09303.a6}}</ref> [[alcohol]],<ref name=":0" /> and [[opioids]].<ref name=":0" /><ref>{{cite journal | vauthors=((Behzadi, M.)), ((Joukar, S.)), ((Beik, A.)) | journal=Medical Principles and Practice | title=Opioids and Cardiac Arrhythmia: A Literature Review | volume=27 | issue=5 | pages=401–414 | date= 2018 | url=https://www.karger.com/Article/FullText/492616 | issn=1011-7571 | doi=10.1159/000492616}}</ref><ref>{{cite journal | vauthors=((Doshi, R.)), ((Shah, J.)), ((Desai, R.)), ((Gullapalli, N.)) | journal=International Journal of Cardiology | title=Burden of arrhythmia in hospitalizations with opioid overdose | volume=286 | pages=73–75 | date= July 2019 | url=https://linkinghub.elsevier.com/retrieve/pii/S016752731837284X | issn=01675273 | doi=10.1016/j.ijcard.2019.01.047}}</ref> While [[stimulant|stimulants]] tend to increase a person's heart rate, [[depressants]] tend to decrease it. Combining the two can often result in dangerously irregular heartbeats. | ||
</onlyinclude> | </onlyinclude> | ||
===Psychoactive substances=== | ===Psychoactive substances=== | ||
Line 11: | Line 11: | ||
{{#ask:[[Category:Experience]][[Effect::Abnormal heartbeat]]|format=ul|Columns=1}} | {{#ask:[[Category:Experience]][[Effect::Abnormal heartbeat]]|format=ul|Columns=1}} | ||
===See also=== | ===See also=== | ||
*[[Responsible use]] | *[[Responsible use]] | ||
*[[Subjective effects index]] | *[[Subjective effects index]] | ||
Line 16: | Line 17: | ||
*[[Dissociatives#Subjective_effects|Dissociatives - Subjective effects]] | *[[Dissociatives#Subjective_effects|Dissociatives - Subjective effects]] | ||
*[[Deliriants#Subjective_effects|Deliriants - Subjective effects]] | *[[Deliriants#Subjective_effects|Deliriants - Subjective effects]] | ||
===External links=== | ===External links=== | ||
* [https://en.wikipedia.org/wiki/Heart_arrhythmia Heart arrhythmia (Wikipedia)] | |||
*[https://en.wikipedia.org/wiki/Heart_arrhythmia Heart arrhythmia (Wikipedia)] | |||
===References=== | ===References=== | ||
{{reflist}} | {{reflist}} |
Latest revision as of 04:58, 4 June 2022
Abnormal heartbeat (also called an arrhythmia or dysrhythmia) is defined as a problem with the rate or rhythm of a heartbeat.[1] A heartbeat that is too fast (greater than 100 beats per minute) is called tachycardia and a heartbeat that is too slow (less than 60 beats per minute) is called bradycardia. Arrhythmias are caused by changes to heart tissue. Hearts beat due to cascading electrical signals and these can be influenced by stress hormones, electrolytes, and medicinal substances.
An abnormal heartbeat is most commonly induced under the influence of moderate dosages of stimulant and depressant compounds, such as cocaine,[2][3][4][5][6][7][8] amphetamines,[9][10][11][12][13] alcohol,[13] and opioids.[13][14][15] While stimulants tend to increase a person's heart rate, depressants tend to decrease it. Combining the two can often result in dangerously irregular heartbeats.
Psychoactive substances
Compounds within our psychoactive substance index which may cause this effect include:
- 2-FA
- 2-FEA
- 2-FMA
- 25B-NBOH
- 25C-NBOH
- 25C-NBOMe
- 25D-NBOMe
- 25I-NBOH
- 25I-NBOMe
- 25N-NBOMe
- 2C-T-21
- 2C-T-7
- 3,4-CTMP
- 3-Cl-PCP
- 3-FEA
- 3-FPM
- 3-HO-PCP
- 3-MMC
- 3-MeO-PCP
- 4-AcO-DET
- 4-FA
- 4-FMA
- 4F-MPH
- 5-APB
- 5-Hydroxytryptophan
- 5-MeO-DiPT
- 5-MeO-MiPT
- 6-APB
- A-PHP
- A-PVP
- Amphetamine
- Benzydamine
- Clonidine
- Cyclazodone
- DOB
- DPT
- Datura
- Dichloropane
- Diphenhydramine
- Ephylone
- Fenethylline
- Harmala alkaloid
- Ibogaine
- Lisdexamfetamine
- MCPP
- MDMA
- MDPV
- MXiPr
- Methadone
- Methylphenidate
Experience reports
Anecdotal reports which describe this effect within our experience index include:
- Experience: 550mg DPH - My First Time on DPH
- Experience:800-900mg Ephenidine + unknown quantity flubroalzolam - Multiday Insanity
- Experience:Clonazolam + 2-methyl-AP-237 (unknown dosage) - Cardiac arrest
- Experience:Unknown dosage / 3 tabs - Ego death and a total break through in the snow
See also
- Responsible use
- Subjective effects index
- Psychedelics - Subjective effects
- Dissociatives - Subjective effects
- Deliriants - Subjective effects
External links
References
- ↑ Arrhythmias - What Is an Arrhythmia?, National Heart, Lung and Blood Institute, retrieved 4 June 2022
- ↑ Wood, D. M., Dargan, P. I., Hoffman, R. S. (January 2009). "Management of cocaine-induced cardiac arrhythmias due to cardiac ion channel dysfunction". Clinical Toxicology. 47 (1): 14–23. doi:10.1080/15563650802339373. ISSN 1556-3650.
- ↑ O’Leary, M. E., Hancox, J. C. (28 January 2010). "Role of voltage-gated sodium, potassium and calcium channels in the development of cocaine-associated cardiac arrhythmias: Voltage-gated ion channels and cocaine-induced arrhythmia". British Journal of Clinical Pharmacology. 69 (5): 427–442. doi:10.1111/j.1365-2125.2010.03629.x. ISSN 0306-5251.
- ↑ Wood, D. M., Dargan, P. I. (28 January 2010). "Putting cocaine use and cocaine-associated cardiac arrhythmias into epidemiological and clinical perspective: Cocaine epidemiology and cardiovascular toxicity". British Journal of Clinical Pharmacology. 69 (5): 443–447. doi:10.1111/j.1365-2125.2010.03630.x. ISSN 0306-5251.
- ↑ Gradman, A. H. (April 1988). "Cardiac effects of cocaine: a review". The Yale Journal of Biology and Medicine. 61 (2): 137–147. ISSN 0044-0086.
- ↑ Lange, R. A., Hillis, L. D. (2 August 2001). "Cardiovascular Complications of Cocaine Use". New England Journal of Medicine. 345 (5): 351–358. doi:10.1056/NEJM200108023450507. ISSN 0028-4793.
- ↑ Tazelaar, H. D., Karch, S. B., Stephens, B. G., Billingham, M. E. (February 1987). "Cocaine and the heart". Human Pathology. 18 (2): 195–199. doi:10.1016/S0046-8177(87)80338-6. ISSN 0046-8177.
- ↑ Maraj, S., Figueredo, V. M., Lynn Morris, D. (May 2010). "Cocaine and the Heart". Clinical Cardiology. 33 (5): 264–269. doi:10.1002/clc.20746. ISSN 0160-9289.
- ↑ Shyu, K., Wang, B., Yang, Y., Tsai, S., Lin, S., Lee, C. (1 July 2004). "Amphetamine activates connexin43 gene expression in cultured neonatal rat cardiomyocytes through JNK and AP-1 pathway". Cardiovascular Research. 63 (1): 98–108. doi:10.1016/j.cardiores.2004.02.018. ISSN 0008-6363.
- ↑ Bazmi, E., Mousavi, F., Giahchin, L., Mokhtari, T., Behnoush, B. (30 March 2017). "Cardiovascular Complications of Acute Amphetamine Abuse: Cross-sectional study". Sultan Qaboos University Medical Journal. 17 (1): e31–37. doi:10.18295/squmj.2016.17.01.007. ISSN 2075-051X.
- ↑ Jacobs, W. (June 2006). "Fatal Amphetamine-Associated Cardiotoxicity and Its Medicolegal Implications:". The American Journal of Forensic Medicine and Pathology. 27 (2): 156–160. doi:10.1097/01.paf.0000188082.68009.10. ISSN 0195-7910.
- ↑ Won, S., Hong, R. A., Shohet, R. V., Seto, T. B., Parikh, N. I. (December 2013). "Methamphetamine-Associated Cardiomyopathy: Methamphetamine-associated cardiomyopathy". Clinical Cardiology. 36 (12): 737–742. doi:10.1002/clc.22195. ISSN 0160-9289.
- ↑ 13.0 13.1 13.2 Frishman, W. H., Del Vecchio, A., Sanal, S., Ismail, A. (July 2003). "Cardiovascular Manifestations of Substance Abuse: Part 2: Alcohol, Amphetamines, Heroin, Cannabis, and Caffeine". Heart Disease. 5 (4): 253–271. doi:10.1097/01.hdx.0000080713.09303.a6. ISSN 1521-737X.
- ↑ Behzadi, M., Joukar, S., Beik, A. (2018). "Opioids and Cardiac Arrhythmia: A Literature Review". Medical Principles and Practice. 27 (5): 401–414. doi:10.1159/000492616. ISSN 1011-7571.
- ↑ Doshi, R., Shah, J., Desai, R., Gullapalli, N. (July 2019). "Burden of arrhythmia in hospitalizations with opioid overdose". International Journal of Cardiology. 286: 73–75. doi:10.1016/j.ijcard.2019.01.047. ISSN 0167-5273.